The economic cost of pathways to care in first episode psychosis.
Authors
Heslin, MargaretMcCrone, Paul
Flach, Clare
Fearon, Paul
Morgan, Kevin
Jones, Peter
Murray, Robin M
Dazzan, Paola
Doody, Gill
Morgan, Craig
Affiliation
Department of Psychosis Studies, Institute of Psychiatry, Kings College London, UK. Margaret.Heslin@kcl.ac.ukIssue Date
2011MeSH
AdultEngland
Female
Health Care Costs
Health Services Accessibility
Humans
London
Male
Mental Health Services
Multivariate Analysis
Psychotic Disorders
Metadata
Show full item recordCitation
The economic cost of pathways to care in first episode psychosis. 2011, 23 (1):55-60 Int Rev PsychiatryJournal
International review of psychiatry (Abingdon, England)DOI
10.3109/09540261.2010.544644PubMed ID
21338299Abstract
Few studies have examined the economic cost of psychoses other than schizophrenia and there have been no studies of the economic cost of pathways to care in patients with their first episode of psychosis. The aims of this study were to explore the economic cost of pathways to care in patients with a first episode of psychosis and to examine variation in costs. Data on pathways to care for first episode psychosis patients referred to specialist mental health services in south-east London and Nottingham between 1997-2000. Costs of pathway events were estimated and compared between diagnostic groups. The average costs for patients in south-east London were £54 (CI £33-£75) higher, compared to patients in Nottingham. Across both centres unemployed patients had £25 (CI £7-£43) higher average costs compared to employed patients. Higher costs were associated with being unemployed and living in south-east London and these differences could not be accounted for by any single factor. This should be considered when the National Health Service (NHS) is making decisions about funding.Item Type
ArticleLanguage
enISSN
1369-1627ae974a485f413a2113503eed53cd6c53
10.3109/09540261.2010.544644